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Nationwide rates for HCPCS 42845

Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap

Facilitymedian $5,370 · 10th–90th $1,950$15,8490%5%10%10th90th$5,370Professionalmedian $2,818 · 10th–90th $1,820$8,3180%20%10th90th$2,818$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $4,677.35 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $10,471.29 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $3,715.35 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,818.38 / $9,332.54